36C77018Q0313-002.xlsx
XLSX spreadsheet 15 KB Posted
- Solicitation number
- 36C77018Q0313
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36C77018Q0313 S02 36C77018Q0313 Pricing Schedule.xlsx
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| File | Type | Posted |
|---|---|---|
| 36C77018Q0313-001.docx | DOCX document | |
| 36C77018Q0313-000.docx | DOCX document |
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Quote Spreadsheet
| CMOP DALLAS | |||||||||||
| 36C77018Q0313 | Delivery Before or On: 3-15-2018 | ||||||||||
| Solicitation Attachment 1 - Quote Spreadsheet | Posted Date: | 2/23/18 | |||||||||
| Vendor Complete | Closing Date: | 2/27/18 | |||||||||
| Vendor Name: | Closing Time: | 2:00PM Central Standard Time (CST) | |||||||||
| DUNS # AND expiration: | E-mail quotes to lori.nicholsfellows@va.gov | ||||||||||
| POC Name: | Signed SF1449 Form and Copy of State-Issued WholesaleDrug Distributor License Also Required | ||||||||||
| POC E-Mail: | or MED-Surg items require Authorized Dealer documentation | ||||||||||
| Phone: | Vendors shall submit no more than (1) one quote per vendor | ||||||||||
| Trade Agreement Act (TAA)-Compliant National Drug Codes (NDC) Preferred | |||||||||||
| If vendors are proposing NDC with count other than CMOP listed NDC, | |||||||||||
| QTY shall be adjusted for that count and this should be noted in "Vendor Comments" | |||||||||||
| Vendor Complete | |||||||||||
| Line Item | Item Number | Description | NDC# | PROPOSED NDC | Mfr | Country of Origin | QTY | Unit | Unit Price | Total Price | Vendor Comments/Delivery |
| 1 | F0080 | FUROSEMIDE 80MG TAB PKG: 500 PER BT | 00378-0232-05 | 480 | BT | $ - 0 | $0.00 | ||||
| 2 | M0102 | MINOCYCLINE HCL 100MG CAP PKG: 500 PER BT | 13668-0484-05 | 96 | BT | $ - 0 | $0.00 | ||||
| 3 | S0004 | SALSALATE 750MG TAB PKG: 500 PER BT | 10135-0493-05 | 144 | BT | $ - 0 | $0.00 | ||||
| 4 | E0660 | ESOMEPRAZOLE 20MG (22.3MG W/MAG) EC CAP | 00573-2450-42 | 1440 | BX | $ - 0 | $0.00 | ||||
| 5 | C0247 | CHOLESTYRAMINE 4GM/5GM (LIGHT) ORAL PWD 231 GRAM CAN | 00245-0036-23 | 240 | CN | $ - 0 | $0.00 | ||||
| 6 | 2597 | DICLOFENAC SODIUM PKG: 100 PER BT | 00781-1785-01 | 120 | BT | $ - 0 | $0.00 | ||||
| 7 | C0282 | CERAVE TOP CREAM 454GM JAR | 00187-1373-16 | 960 | JR | $ - 0 | $0.00 | ||||
| 8 | D1033 | DILTIAZEM HCL 90MG 12 HR SA CAP PKG: 100 PER BT | 00378-6090-01 | 480 | BT | $ - 0 | $0.00 | ||||
| 9 | S0045 | SUCRALFATE 1GM TAB PKG: 100 PER BT | 00093-2210-01 | 144 | BT | $ - 0 | $0.00 | ||||
| 10 | S0003 | SALSALATE 500MG TAB PKG: 500 PER BT | 10135-0492-05 | 288 | BT | $ - 0 | $0.00 | ||||
| GRAND TOTAL PRICE: | $0.00 |
Offeror shall supply their state wholesale distributor licensure with offer verifying compliance with the Drug Supply Chain Security Act (DSCSA) with their quote. Vendors that fail to submit a copy of their state license shall be deemed technically unacceptable.
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